DR. KEITH E PROCTOR (NPI# 1407021694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407021694 |
| Entity Type | Individual |
| Full Name | DR. KEITH E PROCTOR |
| Credential | D.O. |
| Practice Address |
202 Maplewood Ave Ronceverte WV 24970-1334 |
| Practice Telephone | 3046476529 |
| Practice Fax Number | 3047932279 |
| Mailing Telephone | 3046476529 |
| Mailing Fax Number | 3047932279 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | TRAINING LICENSE | WV | Student, Health Care |
| Street Address |
202 MAPLEWOOD AVE |
| City | RONCEVERTE |
| State | WV |
| Zip Code | 24970-1334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720071285 | Leslie Abigail Winters | Family Medicine | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2005-08-30 |
| 1689054363 | Anastasia Yi | Family Medicine | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2015-06-08 |
| 1184968562 | Atomic Anesthesia Pllc | Anesthesiology | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2012-11-26 |
| 1093092033 | Jessica R Davis | Nurse Anesthetist, Certified Registered | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2011-11-04 |
| 1427338979 | Yelena V Johnson | Registered Nurse | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2011-08-27 |
| 1396024014 | Jessica Sue Aliff | Family Medicine | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2011-08-11 |
| 1780993261 | Emilee Pack | Dietitian, Registered | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2010-09-30 |
| 1447581434 | Greenbrier Vmc, LLC | Clinic/Center | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2010-01-15 |
| 1306170048 | Ronceverte Physician Group LLC | Internal Medicine | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2009-09-29 |
| 1003048323 | Brian Rodgers | Registered Nurse | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2009-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197980 | Susan Linton | Technician | 3776 Holes Mill Rd, Ronceverte, WV 24970 | 2020-09-04 |
| 1417561143 | Lori Selene Pickler | Technician | 974 C.west Main St, Ronceverte, WV 24970 | 2020-09-01 |
| 1184237257 | Jotina Hamrick | Technician | 194 Sellers St. Apt.a, Ronceverte, WV 24970 | 2020-08-28 |
| 1871072066 | Blink, Inc. | Eyewear Supplier (Equipment, not the service) | 3942 David Stuart Road, Suite 1, Ronceverte, WV 24970 | 2018-08-09 |
| 1407233976 | Rocky Mountain Holdings, LLC | Ambulance | 584 Airport Road, Box 9 (hangar 4), Lewisburg, WV 24970 | 2015-05-04 |
| 1245500040 | Seneca Family Foot Care, Pllc | Podiatrist | 336 Seneca Trail, Ronceverte, WV 24970 | 2012-01-10 |
| 1922301035 | Dwan Shasta Hamons | Pharmacist | 180 Red Oaks Shopping Center, Ronceverte, WV 24970 | 2010-12-10 |
| 1427351840 | Xuan Le Berry | Pharmacist | 180 Red Oaks Shopping Ctr., Ronceverte, WV 24970 | 2010-12-07 |
| 1104129683 | James P Meadows | Pharmacist | 180 Red Oak Shopping Center, Ronceverte, WV 24970 | 2010-12-06 |
| 1891924676 | Blink, Inc. | Optometrist | 101 Davis Stuart Road, Ronceverte, WV 24970 | 2009-07-14 |
| Find all providers in zip 24970 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358149 | Jamara Washington | Student in an Organized Health Care Education/Training Program | 5000 Domain Dr Apt 715, Morgantown, WV 26501-2528 | 2020-08-30 |
| 1710590021 | Jasmine Maynard | Student in an Organized Health Care Education/Training Program | 1538 Charleston Ave, Huntington, WV 25703 | 2020-08-26 |
| 1336752674 | Brock Riley Hapney | Student in an Organized Health Care Education/Training Program | 1538 Charelston Avenue, Huntington, WV 25701 | 2020-08-26 |
| 1275146540 | Virginia Fay Honaker | Student in an Organized Health Care Education/Training Program | 5000 Station St Apt 1012, Morgantown, WV 26508-7442 | 2020-08-26 |
| 1417560053 | Chelsea Dawn Fields | Student in an Organized Health Care Education/Training Program | 408 Harbour Ln, Hurricane, WV 25526-9646 | 2020-08-24 |
| 1386257061 | Dellani Fix | Student in an Organized Health Care Education/Training Program | 788 W Union Rd, Clendenin, WV 25045-6200 | 2020-08-24 |
| 1144833823 | Shadi Adib Bashai | Student in an Organized Health Care Education/Training Program | 743 1/2 Washington St W, Charleston, WV 25302-1844 | 2020-08-24 |
| 1952914657 | Stamper Danielle Stamper | Student in an Organized Health Care Education/Training Program | Stephen J Kopp Hall 1538 Charleston Avenue, Huntington, WV 25755-0001 | 2020-08-24 |
| 1992322309 | Sarah Heath | Student in an Organized Health Care Education/Training Program | 20 Maxwell Cir, Milton, WV 25541-1449 | 2020-07-01 |
| 1053931410 | Pir Ali Shah | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 | 2020-04-25 |
| Find all providers with the same taxonomy | ||||
| City | RONCEVERTE |
| Zip Code | 24970 |
Please comment or provide details below to improve the information on DR. KEITH E PROCTOR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.